| NPI | 1922371228 |
|---|---|
| Doing Business As | MD REVOLUTION |
| Entity Type | Organization |
| Authorized Contact | SAMIR B DAMANI Physician 858-847-5064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A88989) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A88989) | |
| 207R00000X Internal Medicine (Licence: CA A88989) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2013-06-17 |